HomeMy WebLinkAbout4-36-22
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P.idbyCEMETERYR.ceiPtNo....~?9.........D.ted...........W~?y?!......... Lots 21 & 22
Block '
List Price $ . . . ~.' .q<?9... 99. . . . . Moximum No. Burial Spaces. . . . . . . . . . . .. . .. Uni t 4
Net Paid $ ... ~.'.~:.??... Monum.nt p.rmilled.......................
NO.
----
ID.15
(Data above thl. Une tor CUy Record only)
arity of &ehuut1un
<trrmrttry
Irril
NO.
1515"
THIS INDENTURE MADE '1'Illa .,. _ _ . --
27th
October
95
A. 0.,18,_..__,
day ot ,_...._.
between Ull~ City ot SebUiUllll. Il municipal corporalion e:dstlnl' under the IlIws of the State 01 (o'lorida. III Grantor aud
_ _ . _ _ _ _ , .. _ _ _ . . . . .. . . _ . , . , _ _ _ . . . . _ . . . Rose. .A.., _ Maran, - - - . , . . , . , . - . .. , , , , . .. . . - . - - - , - - - . . - - - , - , . . , , - , . . ... . . . .. . .. . . .. . . .
- 1125 Landsdowne Drive
_ _ _, _., _ _ _. _.,.,. _ _..,......,... ...".... Sebastian, - -Flor.ida, 32.g~8. --....,.
ot the eollnty ot _ JJlQ;i,liIfL RiY:~J:: .. .. .. _ _ _ .. , .. _ .. _ .. .... 80 I Stote ot _ -1!:+RJ;;i,Qil, , - - - - - .. .. . - - - . - - - - - .. , - - .. .. - - . ..
la Grante.. WITNESSE'rH.
That the Granto. for .nd in consideration of the sum of $ . _ . . :I: 19~: ~. . . . . . . . . . . to it in h.nd paid, lhe receipt whereof is herewilh ac-
knowledged, does by this instrument grant, barg.un, sell, release, convey .nd confirm unto the Grantee !1.~:t;. . . .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River Courtty, florida, to.wit:
All of Lot(s) .~~~.~? , Block, . . . .~9.. ,UNIT ...~......... ,of Sebastian municipal cemetery as PO' Plat Number Ithe.oof recorded in Plat
Book 2, at poge 6S of the public records in the office of the Clerk of rhe Circuit Court of St. Lucie County of Florida; said land now lying and being
in Indian River County, Florida.
To Have and to Hold the same fOI1lVer; provided that said property shall be used solely and exclusively for the int.rment of the human dead and shall
b. used, kept and moIntained at aU times in accordance with the rules and regulations, ordinances and r.solutions of the City of Sebastian, Florida, hereto-
fore, oow and h.reafter adopted or provided for the government and operation of said cemete.y. The conditions, restrictions and requirements con rained
in this instrument shall be covenants running with the land. In the event of th. failure of the owner of any property situated within said cem.tery to ob-
serve and comply with ;uch rules, regulations, resolutions and ordinances and the conditions of the de.d of conveyance ther.of th.n the title of such owner
in and to said prOperty shall terminate and the same shaUrevertto the City of Sebastian, Ftorida.
tN WITNESS WHEREOF, The said party of the fust part has caused this instrument ro be executed in its name and on its behalf by its MaYOr and
allested by its City Cle.1c and its oorpo.ate ...1 to be hereto affIXed, the day and year fust above written.
/ - . /
Alt.(n-;h{~m:.(~I.'Ia.f.(4!~..... .
City Clerk
O>TY OF "j~/t7
B, !ilk_,... ..(&; ~~...... -.... ..
Ma10r
Slgn...d, Settled unc.l DcJiYer~d
Ira the Presence of: _ I
#U2~~U................U
~-- z(A;,t'k.~-.._-
(ClIitU j&elll)
STATE 01' l'l.OnIDA
COl'N'fY OF INDIAN RIVER
I HRUEDY CERTIFY, Tbat on this
27th
October
95
18... ..
_ day at
bl'fure lIIe l,e,"llIu.l1y a"poured _ _ .~,~~~_ _~_'_ ,l?i~t~o~ _, _, and Ka,~h~.'Y!U'!:. 9.'.I#J:U.<?!=',~~. -".....
resfJl~clivdy Irh.yor Dud City Clerk of the City 01 Scbastiul1, Ll 1I1unlcilulI corl'oruliou umlcr the: haws of the Stute of FloriulL to me known
to be the im.liviuulIlli nmJ offiCt~I'lj described in fwd who cxecLlh~d the fOl"l"guillg CUMvcyunc~ to
Rose A. Maran
. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . .. Dlld severally lu:knowled"t'd the execution Uu:rcof to be their free act tlllll deeu
UIl snch uHiccrs thereunto uuly uulburixcd; But) Ulul tbc Official scul uf SQid curpuruliou hi duly ulfilh.'d lIlel'do. luul the SKid cunY~Yl1ucc
is th~ /let ulIll dt:'cLl oC said corporB.lion.
W t'l'NItSS IOY slglloture and official seal at SebaaUan, in the Coufty uf !ndiu',: ~iV"iU 9J/sla/te 01 Ftorida, the duy uJllI 1~a~
Itl~t utUfCIiiMid. "- // ,~.... '
.' 'l/Atti!:.:.. UNOA M. GAllEY " flJ ,-/!j . "1' /y7
i~ .-",,- IIY.-.u....~u l ---/, '/J - 1f;1//1 -'.
'; '-'; _'CC37ti124 - .~..oh' ~,o;,_~'. .....I{I.'.'!-,....t..'-r~(-.."................._..
EXI'lRfS:Junal',l9!11 No ary I'ublic. State,ot .l"lorldu nt Lar~
_Thnl~NtIIc__ My eOlwul.olon explreo( .;: _ \
Linda M. Galley '-----
Name l~,:s 6 j!,
/VI A e J? t/ #'/x. PJ
~ If>;:; S ,
Unit
1
Block
~6
Lot
AU
Date of Mark-out
.0', 18~ I L:/
S _;1 cL; I
3// (:)/0 r
Time
II"~, .....1
. (.)(:,-' 1:/ '
I
Date of Burial
Authorized by
.' j
C,/'t
I!' ;
, /
I'
,_i
~-'
V f) I -, (..
n !":...::;)
I .. '; ;/( ,
~! ! I r Ii ." i:'/I '\ .1
// ,..; ,,' ....'.-... ,'" /;! ..,'
.,' ..' ''-0-'- ,I,t! 'It L t ,/0'.'
Name of Funeral Home
"'-0073~7
PERMIT NUMBER
~- .J' -.;l;l
Georgia Department of Human Resources
Vital Records Service
PERMIT FOR THE DISPOSITION OF HUMAN REMAINS
Name of Deceased Date of Death Fetal Death?
ROSE ANN l"lARAN 3-4-2004 No XJ
1. 2. -' 3. Yes 0
Place of Death (Hospital or Street No.) OR Interment (Cemetery) City, Town or Location of Death OR Interment County of Death OR Interment ' .....
St.Joseph Hos~ital Atlanta Ga. Fulton
4. 5. 0 6.
Name of Certifying Physician, Coroner or Medical Examiner Certifier's Address (Not Used For Disinterment!Reinterment) .
(Not Used For Disinterment!Reinterment) 30342
7. DarrenShauer MD 8.5671 Peachtree/Dunwoody Rd.t!275,Atlanta Ga.
Funeral Home Name and Address Funeral Home Lie. No.
- -.
'-.
9. Louie E.Jones FUneral Home 59 N.Main St.,Alpharetta Gaa30004 10. 1030
Method of Disposition . OR Date of Disposition OR
Reinterment
Disinterment!
Cremation 0 Donation 0 Removal From State }[] 0 3-9-04
11. Other 0 Reinterment 12.
Name and Address of Disposition OR Reinterment Site Location of Disposition OR Reinterment Site
(County, City or State)
13. Sebastian Cemetery 1~ebastiall Fl.Illdian River Connty
-.
31-10-20.(a) The funeral director or person acting as such, or other person who first assumes custody of a dead body or
fetus shall obtain a disposition permit prior to cremation or removal from the state of the body or fetus. A disposition permit
be reauired within the state b cal authorities.
Date Signed
1'_%_) $
16. 3-5-04
Date Signed
3-5-04
18.
L~'
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